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Revista médica de Chile

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UGALDE, Diego et al. Sub capsular splenic hematoma in a sickle cell trait carrier. Case report. Rev. méd. Chile [online]. 2011, vol.139, n.9, pp.1192-1195. ISSN 0034-9887.

Drepanocytic anemia is an uncommon hereditary disease in Chile. The heterozygous state of drepanocytic anemia or "sickle trait" has a frequency of 8% among Afro-Americans. A small number of patients carrying hemoglobin S are homozygous, with clinical manifestations of hemolytic anemia and thrombotic disease. Sickle trait is usually asymptomatic. We report a 59-year-old male who presented an acute abdominal pain and dyspnea while staying at high altitude. Six days later, an angio CAT scan showed the presence of a subcapsular splenic hematoma that was managed conservatively. Sickle cell induction with sodium metabisulphite was positive. Hemoglobin electrophoresis confirmed the sickle trait.

Keywords : Altitude sickness; Sickle cell trait; Splenic rupture.

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